[H-3] Dopamine (DA) uptake by platelet storage granules was determined
in 10 never-treated patients with Parkinson's disease (PD) (in 6 of t
hem, also after 6 months of levodopa treatment), in 18 long-term levod
opa-treated patients and in 15 age-matched normal controls. maximum ve
locity (Vmax) of DA uptake was significantly lower in the group of nev
er-treated PD subjects compared to healthy controls (P<0.001) and also
lower compared to the PD long-term treated patients (P<0.025). The Vm
ax of PD never-treated changed after submitting the patients to 6 mont
hs treatment (P<0.025) and became similar to the Vmax in the treated g
roup. The apparent Michaelis constant (Km) of DA uptake in PD never-tr
eated was also significantly different from controls (P<0.005) and als
o different (but not significantly) from PD ''long-term'' treated pati
ents. Decreased DA uptake by platelet storage granules in PD may refle
ct a generalized defect of dopaminergic cells with an impairment in th
e vesicularization of DA which may contribute to the symptomatology of
this motor disease.